Laserfiche WebLink
V' ` I <br /> Burnett County 7410 Co. Rd. K, No. 102, Sinn, WI 54872 Office of Zoning Administrator m m c o <br /> APPLICATION FOR - LAND USE - PERMITS <br /> Q, <br /> = <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and , a <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the " <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and _ o <br /> regulations of the State of Wisconsin. <br /> OWNER w iLLIA M Q WA 4 AV TELEPHONE(7/5) 1,35-- -7-109 0 f <br /> ADDRESS 15SI RdCpAley 4c RD/ HCR 58� SPoa A/ <br /> EMERGENCY/FIRE NUMBER /!S-l ROAD NAME Rdoal t y Jv <br /> LEGAL DESCRIPTION (seetaxreceipt) .$ <br /> CONTRACTOR 6rVA11VISO Al> IN(Z- C j-*/j) { <br /> TYPE OF PERMIT(S): DWELLING/BUILDING r GARAGE/ACCESSORY STRUCTURE ADDITION ( p <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION <br /> o <br /> STRUCTURE/ADDITIONUSE: RBPL-RZLrPeFSE 7-DPET)IDIFi'X WirytEMeu3r'-p.S'WIJ Will o = j, <br /> (Home/Cabin;Commercial Business; Bedroom;Deck;etc.) Z <br /> 0 0 \ <br /> M <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) ` <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST),and drainf laid (DF). o <br /> 3. Show dimensions In feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream,or river. C <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and M <br /> dated by the owner. O o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. '1I 3 y <br /> PLOT PLAN PP a PART DF /sES Yff Aco <br /> ZrO� �20M Pbl{-D o Z <br /> C <br /> m M _ <br /> PRESENT" Z <br /> IV <br /> � pl-/4N VfFt+y u <br /> EG s <br /> 0 <br /> _ <br /> o <br /> /fN_ <br /> 4 � <br /> �c Z <br /> 'I PR a POSED a 83 r <br /> Pt-hN v/EW R <br /> M <br /> rDIO � <br /> CONDITIONS OF PERMIT: Z O/✓DUt T- ca m g;g MM <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. o e Q': 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. {{4 ` y'' E 11 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. W' «' <br /> app (including yaccompanying ) y yi <br /> I declare that this application includin an schedule has been examined b me and to the best of m knowl. 4 <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- ' « « m <br /> tion contained in this application(including any accompanying schedule)and I further declare that 1 recognize that this in for- ,, $ S' 8 p <br /> matlon 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I $ <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.1 agree to permit county officials charged with administering county ordinances or other authorized person to hav ' <br /> access to the above described promises at any reasonable time for the purpose of inspection. ' <br /> a : <br /> SIGN MERE <br /> (sig of or Ilding contracto() (date) «pq ' <br /> �llw <br /> ZONING ADMINISTRATOR i 4. <br /> $ E <br /> TOWNSHIP PERMITS MAY BE REQUIRED opal 4n S n G1 fa18 m <br /> - -�IS <br />